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What is the immediate, life-threatening risk in an electrical burn victim?
Cardiac arrhthmia (get ECG)
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Which pathogens typically infect burns?
- P. aeruginosa
- S. aureus
- Give topical abx and tetanus shot (if not given in past 5 years)
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Burn classification
- Superficial--erythematous, no blisters, involve only dermis
- Superficial partial thickness--painful, warm, moist, with blister formation, involve epidermis and superficial dermis
- Deep partial thickness--burn reveals skin that is mottled, waxy, and white, with ruptured blisters. No pain sensation.
- Full thickness--white/gray leathery appearance, do not blanch with pressure, involve all of epidermis and dermis
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What is hypothermia, and how is it managed?
- Body temp under 35
- Manage with slow rewarming blankets, ECG monitoring (arrhythmias are common), and follow electrolytes, renal function, and acid-base status
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How are malignant hyperthermia and neuroleptic malignant syndrome treated?
- Stop offending drug
- Dantrolene
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